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Biomedical subjects

C T Rubin

Publications and source records attributed to C T Rubin.

61 records · Page 4Linked to original sources

Skeletal strain and the functional significance of bone architecture.

Regulation of the magnitude and distribution of skeletal strain is achieved in limb bones both "internally" by alterations to bone morphology, and "externally" by coordination of muscle activity and modifications in the animal's behavior. Though not actually minimizing functional strain, these mechanisms conspire to produce a restricted strain environment, which allows an economical and optimized structure, and, in a variety of species over a wide range of activities, the architectural and behavioral modifications have resulted in remarkably similar peak functional strain magnitudes. This confined range of functional strains reflects a universal mechanism and objective of structural adaptation in bone.

Adaptation, Physiological↗

Static vs dynamic loads as an influence on bone remodelling.

Remodelling activity in the avian ulna was assessed under conditions of disuse alone, disuse with a superimposed continuous compressive load, and disuse interrupted by a short daily period of intermittent loading. The ulnar preparation consisted of the 110mm section of the bone shaft between two submetaphyseal osteotomies. Each end of the preparation was transfixed by a stainless steel pin and the shaft either protected from normal functional loading with the pins joined by external fixators, loaded continuously in compression by joining the pins with springs, or loaded intermittently in compression for a single 100s period per day by engaging the pins in an Instron machine. Similar loads (525 N) were used in both static and dynamic cases. The strains engendered were determined by strain gauges, and at their maximum around the bone's midshaft were -0.002. The intermittent load was applied at a frequency of 1 Hz as a ramped square wave, with a rate of change of strain during the ramp of 0.01 s-1. Peak strain at the midshaft of the ulna during wing flapping in the intact bone was recorded from bone bonded strain gauges in vivo as -0.0033 with a maximum rate of change of strain of 0.056 s-1. Examination of bone sections from the midpoint of the preparation after an 8 week period indicated that in both non-loaded and statically loaded bones there was an increase in both endosteal diameter and intra cortical porosity. These changes produced a decrease in cross sectional area which was similar in the two groups (-13%).(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Regulation of bone formation by applied dynamic loads.

UNLABELLED: In studies on a functionally isolated avian-bone preparation to which external loads could be applied in vivo, we determined the following information. Removal of load-bearing resulted in substantial remodeling endosteally, intracortically, and, to a lesser extent, periosteally. Since the balance of this remodeling was negative, bone mass declined. It therefore appears that functional load-bearing prevents a remodeling process that would otherwise lead to disuse osteoporosis. Four consecutive cycles a day of an externally applied loading regimen that engendered physiological strain magnitudes but an altered strain distribution prevented remodeling and was thus associated with no change in bone mass. A small exposure to, or the first effect of, a suitable dynamic strain regimen appears to be sufficient to prevent the negatively balanced remodeling that is responsible for disuse osteoporosis. Thirty-six 0.5-hertz cycles per day of the same load regimen also prevented intracortical resorption but was associated with substantial periosteal and endosteal new-bone formation. Over a six-week period, bone-mineral content increased to between 133 and 143 per cent of the original value. Physiological levels of strain imposed with an abnormal strain distribution can produce an osteogenic stimulus that is capable of increasing bone mass. Neither the size nor the character of the bone changes that we observed were affected by any additional increase in the number of load cycles from thirty-six to 1800. CLINICAL RELEVANCE: The results of this experiment must be considered in relation to the type and duration of the non-physiological loads that were imposed.(ABSTRACT TRUNCATED AT 250 WORDS)

Animals↗

Limb mechanics as a function of speed and gait: a study of functional strains in the radius and tibia of horse and dog.

Rosette strain gauges were attached to the midshaft of the radius and tibia of two horses and two dogs, which ran on a treadmill through their entire range of speed and gait. The relative magnitudes of the principal strains on the opposite cortices of each bone remained constant through the stance phase of the stride, and their orientation varied by a maximum of only 14 degrees through the entire speed range. The maximum strain rate increased linearly with speed, but the peak strain magnitude was also dependent upon the gait used, increasing incrementally by up to 59% at the transition from walk to trot, and dropping by 42% from a trot to a canter. Force transducers attached to the shoes of one horse indicated similar changes in ground load. The peak strains induced during vigorous activity are remarkably uniform in a wide range of animals. This suggests that the skeleton is scaled to provide constant safety margins between peak functional strains and those at which yield and ultimate failure occur.

Animals↗

Changes in the bone-cement interface after total hip replacement. An in vivo animal study.

UNLABELLED: In order to study the temporal sequence of radiographic, histological, mechanical, bacteriological, and chemical changes around the femoral component following total hip replacement, a model was created by implanting plastic-on-metal total hip replacements in sheep and walking the animals on a concrete surface beginning six weeks postoperatively. This model demonstrated a decreased torsional rigidity between the prosthesis and the femoral cortex in all sheep. Failure of bonding occurred at the bone-cement interface and appears from our results to be most probably due to alterations in the functional stress of the proximal end of the femur following insertion of the femoral component rather than exothermic polymerization, toxicity of free monomer residue, or infection. CLINICAL RELEVANCE: An understanding of the causes of loosening of cemented metal femoral components in total hip replacement has been thwarted by a lack of specimens at sequential times in the loosening process. Since a patient is not operated on until the prosthetic components are completely loose, such specimens are difficult to obtain clinically. For this reason a model for examining the bone-cement interface, measured by decreased torsional rigidity of the prosthesis relative to the bone, was developed in sheep. Of all the parameters studied, those inherent in the effects (mechanical or vascular, or both) of insertion of the prosthesis itself appeared to be the most likely cause of the change in the mechanical properties of the interface. This suggests that degenerative changes of the bone-cement interface may be inevitable.

Animals↗

Whole-body vibration in the skeleton: development of a resonance-based testing device.

Whole-body vibration (WBV) has been demonstrated to have a strong influence on physiological systems, ranging from severely destructive to potentially beneficial. Unfortunately, the study of WBV in a controlled manner is commonly constrained by space and budgetary factors, particularly where vibration in the low frequency range is considered. In the work presented here, a small, low-cost device for performing WBV of the human skeleton is developed to assist in studies of vertical acceleration in a clinical setting. The device design consists of a spring-supported plate driven by an 18 N peak-force electromagnetic actuator, and the associated driving and monitoring electronics. Animal and human lumped-mass models have been coupled with a model of the loading device to seek a resonance response in the vicinity of 30 Hz. This approach minimizes the loading requirements of such a device, and thus a major component of the cost, yet can provide peak accelerations of 0.15 g at a frequency of 30 Hz in a small, lightweight package capable of use in a clinical or laboratory setting.

Acceleration↗